• 제목/요약/키워드: Extracorporeal

검색결과 489건 처리시간 0.023초

Intraoral reinsertion after extracorporeal fixation in condylar fracture

  • Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제47권6호
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    • pp.476-479
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    • 2021
  • For treatment of mandibular condyle fracture, this article introduces the surgical protocol of intraoral reinsertion after extracorporeal fixation. This efficient, anatomically acceptable, extraoral scar-free, and relatively uncomplicated approach for condylar fracture can be compared with conventional extraoral fixation through various approaches. Clinical step-by-step procedures with a scientific basis were described in this technical strategy note.

신경 손상 후 환측의 동작분석을 통한 충격파가 신경재생에 미치는 영향 (Impact of Shock Wave on Nerve Regeneration in Motion Analysis of Affected Side after Nerve Injury)

  • 이중호;최영덕;성연범
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제9권3호
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    • pp.533-540
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    • 2019
  • 본 연구는 체외 충격파 치료를 이용하여 신경 손상 흰쥐의 신경재생에 미치는 영향을 알아보았다. 본 연구에서는 체중이 230~280g고 생후 6주의 Sprague-Dawley계 수컷 흰쥐 30마리를 사용하였다. 무작위 추출방법을 이용하여 좌골신경 손상 후 체외 충격파 치료를 받는 실험군(n=15)과 좌골신경 손상 후 체외 충격파 치료를 받지 않는 대조군(n=15)으로 나누어 실험을 실시하였다. 본 연구에서 체외충격파 치료를 적용하기 위해서 체외 충격파 치료기(OPTIMUS, SALUS TALENT 3, Korea)를 이용하였으며 낮은 출력(low intensity)을 이용하여 오른쪽 후지의 좌골신경 압좌 부위에 적용하였다. 본 연구에서는 다트피쉬 소프트웨어를 이용하여 환측 후지의 입각기 시간과 보폭거리를 측정하였다. 환측 후지의 입각기 시간과 보폭거리의 그룹 간 변화량 비교에서 체외 충격파 치료를 적용한 실험군과 체외 충격파 치료를 적용하지 않은 대조군 사이에는 통계학적으로 유의한 차이가 있었다. 결론적으로 체외 충격파 치료는 신경재생에 긍정적인 영향을 미친다.

Effects of 6 Week Kinesiotaping and Extracorporeal Shock Wave Therapy on the Joint Range of Motion in Patients with Frozen Shoulder

  • Choi, Jung Hyun;Kim, Soon Hee;An, Ho Jung;Koo, Ja Pung;Kim, Nyeon Jun
    • 국제물리치료학회지
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    • 제8권1호
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    • pp.1095-1099
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    • 2017
  • This study used both kinesiotaping and extracorporeal shock wave therapy on patients diagnosed with frozen shoulder - a common musculoskeletal disorder in adults - in order to observe the effects on the joint range of motion. 21 adult(male 12, female 9) were selected and distributed into randomized groups. One group received kinesiotaping (n=10) and the other group received kinesiotaping together with extracorporeal shockwave therapy (n=11). After a 6 week duration of receiving kinesiotaping and extracorporeal shockwave therapy, changes in the joint range of motion in the patients were observed. Post-treatment of frozen shoulder, the changes in abduction within the shoulder joint were as follows: in both groups there was a noticeable increase in the joint range of motion (p<.05). Post-treatment of frozen shoulder, the changes in external rotation within the shoulder joint were as follows: both groups showed a significant increase in the joint range of motion (p<.05). The result of suggest that, it can be inferred that both the extracorporeal shockwave therapy and kinesiotaping are effective in increasing the joint range of motion in patients with frozen shoulder.

급성 Valproic acid 중독에서 L-carnitine과 체외 제거방법: 체계적 고찰 (L-carnitine vs Extracorporeal Elimination for Acute Valproic acid Intoxication: A Systematic Review)

  • 양병근;구재은;주영선;유제성;정성필;이한식
    • 대한임상독성학회지
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    • 제12권2호
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    • pp.39-45
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    • 2014
  • Purpose: The purpose of this study is to review the evidence comparing the efficacy and safety between L-carnitine and extracorporeal elimination therapy in the management of acute valproic acid L-carnitine vs Extracorporeal Elimination for Acute Valproic acid Intoxication Methods: PubMed, Embase, Cochrane library, Web of Science, KoreaMed, KMbase, and KISS were searched, using the terms carnitine and valproic acid. All studies, regardless of design, reporting efficacy or safety endpoints were included. Reference citations from identified publications were reviewed. Both English and Korean languages were included. Two authors extracted primary data elements including poisoning severity, presenting features, clinical management, and outcomes. Results: Thirty two articles including 33 cases were identified. Poisoning severity was classified as 3 mild, 11 moderate, and 19 severe cases. Nine cases were treated with L-carnitine while 24 cases received extracorporeal therapy without L-carnitine. All patients except one expired patient treated with hemodialysis recovered clinically and no adverse effects were noted. A case report comparing two patients who ingested the same amount of valproic acid showed increased ICU stay (3 vs 11 days) in case of delayed extracorporeal therapy. Conclusion: Published evidence comparing L-carnitine with extracorporeal therapy is limited. Based on the available evidence, it is reasonable to consider L-carnitine for patients with acute valproic acid overdose. In case of severe poisoning, extracorporeal therapy would also be considered in the early phase of treatment.

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난치성 족저 근막염의 체외충격파를 이용한 치료 (Extracorporeal Shock Wave Therapy for the Treatment of Refractory Plantar Fasciitis)

  • 최우진;이진우;곽윤해
    • 대한족부족관절학회지
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    • 제11권1호
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    • pp.51-56
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    • 2007
  • Purpose: The objective of this study was to report the outcomes of patients treated with extracorporeal shock wave therapy (ESWT) for refractory plantar fasciitis of the foot. Materials and Methods: From November 2005 to October 2006, a total of sixty-two patients with refractory plantar fasciitis were treated with extracorporeal shock wave therapy. The main outcome measurements were visual analogue scale (VAS) and Roles and Maudsley score evaluated before treatment and at one and six months after treatment. Results: Roles and Maudsley score was excellent (0%), good (6.4%), fair (35.4%) and poor (58.2%) before treatment which improved to excellent (56.5%), good (38.7%), fair (4.8%) and poor (0%) at final follow-up. VAS scores also significantly improved after ESWT (p<0.05). There was no statistically significant correlation between clinical results and body mass index (BMI) (p=0.102). Conclusion: Extracorporeal shock wave therapy appears to be an effective and safe treatment modality for refractory plantar fasciitis and may help the patient to avoid surgery for refractory heel pain.

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포획한 바스켓과 내시경이 얽힌 환자에서 체외충격파 쇄석술을 적용한 췌관결석의 치료 1예 (Removal of Pancreatic Calcification Stones by Extracorporeal Shock- Wave Lithotripsy under the Entangled Basket and the Endoscopy.)

  • 손순룡;이원홍;이희정;엄준용;진정헌;김건중
    • 대한방사선기술학회지:방사선기술과학
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    • 제22권1호
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    • pp.87-90
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    • 1999
  • Treatment of human calculi by extracorporeal shock-wave lithotripsy(ESWL) was introduced for kidney stones in 1980. This technology was then applied to the treatment of bile duct stones and pancreatic stones. Some reports have also shown that disintegration of pancreatic stones by extracorporeal shock-wave lithotripsy is possible with successful subsequent endoscopic extraction of the fragments at home ana abroad. We tried removal of pancreatic calcification stones by endoscopic procedures, but could't be removed because the basket got entagled in the endoscopy. We report one case of this pancreatic calcification stones ; the stones were successfully fragmented and completely removal by extracorporeal shock-wave lithotripsy.

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Experiences of Tracheal Procedure Assisted by Extracorporeal Membrane Oxygenator

  • Kim, Ji Eon;Jung, Sung-Ho;Ma, Dae Sung
    • Journal of Chest Surgery
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    • 제46권1호
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    • pp.80-83
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    • 2013
  • We report on the application of a venovenous type extracorporeal membrane oxygenator (ECMO) in high-risk tracheal procedures in six cases consisting of five patients with tracheal stenosis. An ECMO should be helpful for preventing respiratory emergency during a tracheal procedure.

폐절제술후 호흡부전에 빠진 환자에 대한 Extracorporeal Membrane Oxygenation -경험 1례- (Extracoreal Membrane Oxygenation for Postpneumonectomy Respiratory Failure -A Cases Report-)

  • 홍기표
    • Journal of Chest Surgery
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    • 제27권1호
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    • pp.60-62
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    • 1994
  • Pulmonary edema and respiratory failure is uncommon but fatal complications associated with major operations of the lung, especially after pneumonectomy. The extracorporeal membrane oxygenation[ECMO] is quite often used in infants with severe respiratory failure and congenital heart disease which is well documented in the literature. In adults, the results of ECMO is comparatively poor to those found in neonates. We have experienced a case of ECMO applied on a 48 year old male who had respiratory failure after pneumonectomy, and the patient was successfully weaned from bypass. Unfortunately however, the patient expired on postoperative 15 day due to multiorgan failure.

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Catastrophic catecholamine-induced cardiomyopathy rescued by extracorporeal membrane oxygenation in recurrent malignant pheochromocytoma

  • Min, Daniel
    • Journal of Yeungnam Medical Science
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    • 제36권3호
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    • pp.254-259
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    • 2019
  • Pheochromocytoma (PCC) is a rare catecholamine-producing tumor with the incidence in hypertension of 0.1-0.6%. PCC crisis is an endocrine emergency that can lead to hemodynamic disturbance and organ failure such as catecholamine-induced cardiomyopathy. The circulatory collapse caused by it often requires mechanical support. The author reports an unusual case in which a patient who previously underwent surgery for malignant PCC developed catecholamine-induced cardiomyopathy, and successfully recovered using extracorporeal membrane oxygenation.

ECMO 시스템 적용을 위한 최적화 조건에 관한 연구 (A study on the Optimal Condition for Application with Extracorporeal Membrane Oxygenation)

  • 김재열;송민종;유신;마상동;김창현
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2001년도 기술교육위원회 창립총회 및 학술대회 의료기기전시회
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    • pp.13-18
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    • 2001
  • The ECMO system, including umbilical cord and membrane type oxygenator was connected with extracorporeal circulation unit, was applied to the fetus growth model of goat. The maximum survival time of goat fetus was 48 hours. Average blood rate for the extracorporeal circulation was $223{\pm}15.2 ml/min.$ The survival time of fetus was deeply related to body temperature, blood circulation and water temperature, anesthetized time, and fetus weights. Extern variables that are composed of anesthetized time, fetus weights, change of hemoglobin, circuit pressure, related to the survival time for fetus corrected the problem of previous ECMO model that is controlled by roller pump. It is directly delivered to heart on load. Applying the results from new ECMO model, further research will provide to the system of ECMO for human.

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